Vila-Candel Rafael, Mena-Tudela Desirée, Franco-Antonio Cristina, Quesada José Antonio, Soriano-Vidal Francisco Javier
Health Science Faculty, Universidad Internacional de Valencia - VIU, 46002 Valencia, Spain; Department of Primary Health, La Ribera Health Department, 46600 Alzira, Spain; Foundation for the Promotion of Health and Biomedical Research in the Valencian Region (FISABIO), Valencia, Spain.
Department of Nursing, Feminist Institute, Universitat Jaume I, 12071 - Castellón de la Plana, Spain.
Midwifery. 2024 Jan;128:103874. doi: 10.1016/j.midw.2023.103874. Epub 2023 Nov 8.
It is necessary to continue promoting breastfeeding rates.
Information and communication technologies have significantly impacted healthcare services and are transforming the sector. There is little evidence of the usefulness of mobile applications to support breastfeeding and increase its duration.
To assess whether mobile application-LactApp® (Barcelona, Spain)-usage compared with standard care increases the 6-month postpartum breastfeeding rate.
A multicentre, randomised, controlled clinical trial of parallel groups was conducted. The study was conducted in four public hospitals in Spain from January 2022 to January 2023. 270 Women were randomly assigned to each parallel group. The women in the intervention group received free access to the mobile application LactApp®, which provides personalised and convenient support to women about BF. Women in the control group received standard care, which included individual counselling about the benefits of maintaining BF for the first 6 months of the baby's life.
The rate of breastfeeding abandonment at 15 days was 6.4 % in the control group vs 0.0 % in the intervention group (p = 0.105). LactApp® usage did not increase the 6-month postpartum breastfeeding rate compared with standard care (CG = 41.6% vs. IG = 43.6 %; p = 0.826).
Further studies must explore how technologies can help improve long-term breastfeeding maintenance. The mobile app seems to reduce early weaning in the first 15 days slightly.
Mobile application usage did not increase the breastfeeding rate compared with standard practice but may reduce breastfeeding abandonment in the first 2 weeks postpartum.
有必要继续提高母乳喂养率。
信息通信技术对医疗服务产生了重大影响，并正在改变该领域。几乎没有证据表明移动应用程序有助于支持母乳喂养并延长其持续时间。
评估与标准护理相比，使用移动应用程序LactApp®（西班牙巴塞罗那）是否能提高产后6个月的母乳喂养率。
进行了一项多中心、随机、平行组对照临床试验。该研究于2022年1月至2023年1月在西班牙的四家公立医院进行。每个平行组随机分配270名女性。干预组的女性可免费使用移动应用程序LactApp®，该应用程序为女性提供有关母乳喂养的个性化便捷支持。对照组的女性接受标准护理，其中包括关于在婴儿出生后的前6个月维持母乳喂养的益处的个人咨询。
对照组15天时的母乳喂养放弃率为6.4%，干预组为0.0%（p = 0.105）。与标准护理相比，使用LactApp®并没有提高产后6个月的母乳喂养率（对照组=41.6%，干预组=43.6%；p = 0.826）。
进一步的研究必须探索技术如何有助于改善长期母乳喂养的维持情况。该移动应用程序似乎能略微降低前15天的早期断奶率。
与标准做法相比，使用移动应用程序并没有提高母乳喂养率，但可能会降低产后前两周的母乳喂养放弃率。
